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We found 10 result(s) that match your search "stress management":

Remember that silly/sarcastic quote that people were spouting off some time ago? The one about stress? Stress: The confusion created when one's mind overrides the body's basic desire to choke the living daylights out of some jerk who desperately deserves it. I like it better when there are some choice words replaced, but this is a family place!
Stress comes in many forms, though, not just from anger and frustration, as the quote above demonstrates. Stress comes from having too much to do and not enough time to do it in; from lack of sleep; from poor blood sugar management; and a myriad other situations. All of which can wreak havoc on every part of your diabetes management. (READ MORE)

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One thing about diabetes that can be particularly frustrating is not knowing how our body will react to stress. I've had just as many highs from stress as I have had unexpected lows.

 

Strangely, I think I more often go lowish from certain kinds of stress. Namely medical stress. Just over a year ago, for example, I had to have an MRI on my hip with contrasting dye and it was really an experience I was not prepared for. Sitting in the waiting area before the procedure I was high. During the part where the doctor injected the dye into my hip, I felt myself going low and thought I was going to pass out.

 

And then there was the minor hand surgery I had two and a half years ago where my sugar stayed low all morning until my mid-day surgery.

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Blogging has become quite difficult these days. Not only am I pressed for time, but I also don't seem to have the correct mindset to talk about diabetes. Maybe I've been doing this too long? I just can't find anything WORTH blogging about that pertains to anything diabetes related. My priorities have shifted.

 

Work is fairly consuming while I'm there. I don't tend to focus on it once I hit the apartment door, but I do know that the stress is there. I am spending quite a bit of my time in the office, driving to/from work, or spending a few moments here and there at home checking email or organizing for the next day. I don't think I've adjusted to this schedule quite yet.

 

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As people with diabetes, we are tasked by our medical teams with conducting our lives in a manner such as to minimize or mitigate the destructive effects of our medical condition. A lot of press is given to the concepts of "patient compliance" and "patient adherence" -- enough to raise the blood pressures of many of us past the levels covered by our antihypertensive, renal-protective pharmaceuticals. The idea of being "a diabetic in control" (or "out of control") has also been known to raise the hackles of a number of the T1s among us, whose blood glucose levels vary with the tempo and dynamic (but none of the grace) of a Mahler symphony.

 

Like the four movements of a symphony, or the members of a string quartet, the cornerstones of diabetes self-care are:

 

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Sick days are usually rough when you're trying to manage blood sugars. Whether it's a cold or a stomach bug, the stress, medicine, and unusual food intake can really wreak havoc on controlling levels.

 

Satuday morning, I came down with a stomach virus. This is the second one I've had this year, so I feel like I'm an expert at managing blood sugars when I can't keep anything down for hours.

 

I don't really keep an active sick day plan. I usually just make changes as needed. Being on the pump has made being sick so much easier since I can decrease or increase basals as necessary and prolong boluses just in case I can't keep food down.

 

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My averages for the past two weeks were quite amazing. My only highs were generally after breakfast (still). Unfortunately, I had quite a few lows in there. But I have to say that working full time seems to keep my blood sugars at a more stable rate (even though I was moving boxes 70% of the time). And unfortunately, I think quite a few of the lows and falling averages were from stress.

 

Stress seems to work backwards on me. When I'm nervous, I drop like a rock. When I'm upset, I tend to average out at a lower level. I don't see a lot of highs when I'm under the pressure.

 

And lately, I've been extremely stressed. To the point that I'm getting ulcers in my mouth (a common occurrence for me during stressful times). I have so much going on in my life right now.

 

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Several people have told me lately how A1c results aren't all that important. I agree that A1c's aren't the ONLY lab test or number that diabetics need to be concerned over in their diabetes management. But it's also ingrained into me that A1c's are a very important number in diabetes control.

 

For about ten years, I went to a doctor who was directly involved in the DCCT trial. I researched the DCCT for a science fair project in 7th grade. I've seen the results. I've heard the stories. A1c results are valued by most endocrinologists in this field. Obviously, there is something to this.

 

For me, my A1c is one of the telling factors about my control. It's the guiding light at the end of the tunnel. There is an ultimate goal in my mind regarding my diabetes and regarding that number. It's important to me. I'd rather have a lower A1c than risk running at a higher result and increase my chances of diabetic complications.

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In the past month, I've really gotten off track with my life. School and work seemed to be picking up, so I set a few things on the back burner (not to mention that I had a flare up with my other health conditions). The things that got pushed to the back were really major pieces of my diabetes management.

 

For one, I stopped working out in the way that I had been leading up to mid-March. Before Spring Break, I was working out at least twice a week (jogging 1.5-3 miles on the treadmill). But after Spring Break, life got in the way so I didn't make the time to add those workouts back into my schedule. I made all sorts of excuses: I was too tired, I wanted to go out with friends, I hadn't watched TV in forever, I had to study. Sadly, I think I've worked out a total of three or four times in the past month...that's just really disappointing.

 

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It's the end of my logging week again, so I'm sitting down to examine the logbook that I hold so dearly close to my diabetes management's heart. The time that I set apart for this goes something like this. First, I update the logbook with my most recent numbers, Lantus doses, and any important comments including new prescriptions, strange food choices, or exercise. Next, I tally daily averages as well as averages for time of day. After that, I analyze those averages compared to the last weeks averages and look for any resounding patterns that might need changing.

 

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I've swallowed my pride and decided to apply for disability services here at school. They can offer me a few resources that I do not have access to otherwise. Most importantly, they give me the ability to register early for class and to notify my professor's that there is a legitimate health issue that I deal with.

 

The past two semesters, I've considered doing it, but I've also thought it was too embarrassing. But finally, things have gotten to the point where I'm realizing that it's not embarrassing, it's reality. So I've taken the initial steps to go through with it.

 

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